The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?

"If I stop sweating should call 911 or get to the Emergency Department quickly.”

"If this happens in the future, lying in cool water would be beneficial.”

“Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.”

"Drinking water is the best way to improve sodium intake.”

Answer and Explanation

The Correct Answer is D

A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.

B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.

C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.

D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.

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Correct Answer is C

Explanation

A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.

B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.

C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.

D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.

A. Provide water for a client diagnosed with chronic kidney disease B. Instruct the client on appropriate fluid restrictions C. Measure the client's output from the indwelling catheter D. Record the client’s intake and output in the EMR

Correct Answer is B

Explanation

A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.

B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.

C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.

D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.

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The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?

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